脑卒中恢复期常见并发症及其康复治疗  

Common complications of stroke at convalescence and the rehabilitative treatment

作　　者：赵纯[1] 金旻[1] 张玉梅[1] 曹京波[1] 

机构地区：[1]首都医科大学附属北京天坛医院神经内科,北京市100050

出　　处：《中国临床康复》2006年第24期131-133,共3页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:综述有关脑卒中恢复期常见并发症的文献,力求为患者的康复治疗提供借鉴。资料来源:应用计算机检索Ovid及中国医学期刊网1980-01/2004-01与脑卒中恢复期常见并发症相关的文章,检索词“stroke,painfulshoulder”,“stroke,shoulder-handsyndrome”,“stroke,shouldersubluxation”,“脑卒中,肩痛”,“脑卒中,肩手综合征”,“脑卒中,肩关节半脱位”,并限定语种为“English”或中文。资料选择:对资料进行初审,选取有关脑卒中恢复期常见并发症的相关文献,然后筛除明显不随机临床试验的研究,对剩余的文献查找全文,进一步判断是否为随机对照临床研究,无论是否为单盲,双盲或非盲法均纳入。资料提炼:共收集到35篇关于脑卒中后常见并发症的相关文献,18个试验符合纳入标准。排除的17篇试验中,均为重复的同一研究。资料综合:18个试验包括451例患者,分别对脑卒中恢复期出现的并发症,包括肩手综合征、脑卒中后肩痛、脑卒中后肩关节半脱位进行了论述。主要阐述了这3种并发症的发病机制、临床表现、评价方法和治疗及预防的方法。结论:肩手综合征、脑卒中后肩痛、脑卒中后肩关节半脱位为脑卒中恢复期常见的并发症,明确其发病机制、预防措施及治疗,有助于提高脑卒中患者的生活质量。OBJECTIVE： TO review the literatures about common complications of stroke at convalescence, so as to instruct patient＇s rehabilitative treatment. DATA SOURCES： A computer-based online search of relevant English and Chinese articles from January 1980 to January 2004 was conducted respectively in Ovid and China medical network with the key words of ＂stroke, painful shoulder＂, ＂stroke, shoulder-hand syndrome＂, ＂stroke, shoulder subluxation＂ . STUDY SELECTION： Data were checked in the first trial, and literatures related to the common complications of stroke at convalescence were selected, while researches with obvious nonrandomized clinical trials were excluded, and the rest were looked for the full text to judge whether they were clinical researches of randomized control without considering single-blind, double-blind or non-blind. DATA EXTRACTION： A total of 35 articles related to the common complications of stroke were collected, 18 of which were in accordance with the inclusive criteria. 17 repetitive studies were excluded. DATA SYNTHESIS：＇ Eighteen trials including 451 patients respectively reviewed the complications of stroke at convalescence, including shoulderhand syndrome, posterior shoulder pain and subluxation of shoulder-joint. The pathogenesy, clinical manifestation, methods of evaluation, treatment and prevention were mainly explained. CONCLUSION： Shoulder-hand syndrome, posterior shoulder pain and subluxation of shoulder-joint are the common complications of stroke at convalescence. Identification of the pathogenesy, prevention and treatment is helpful to the promotion of lift-quality in patients with stroke.

关 键 词：脑血管意外/并发症 肩痛 反射性交感神经营养障碍 综述文献 

分 类 号：R743[医药卫生—神经病学与精神病学]